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Complaint Investigation

Polaris Healthcare And Rehabilitation Center

August 11, 2025 · Milford, DE · 21 W Clarke Avenue
Citations 2
CMS Rating 1/5
Beds 100
Provider ID 085058
Healthcare Facility
Polaris Healthcare And Rehabilitation Center
Milford, DE  ·  View full profile →
Inspection Summary

POLARIS HEALTHCARE AND REHABILITATION CENTER in MILFORD, DE — inspection on August 11, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0726
Nursing and Physician Services Deficiencies
Potential for More Than Minimal Harm

responded.8/11/25 3:05 PM - Findings were reviewed during the exit meeting with E1, E2 (Regional), and E3 (Regional nurse).

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/11/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Polaris Healthcare and Rehabilitation Center

21 W Clarke Avenue Milford, DE 19963

SUMMARY STATEMENT OF DEFICIENCIES

Based on observation, interview and record review, it was determined that for one (R6) out of three sampled residents for dental services, the facility failed to ensure the resident received dental services.

Findings include:A review of R6's clinical record revealed:9/27/23 - R6 was admitted to the facility.7/25/24 A dental progress note documented that R6 wanted her teeth extracted and to receive dentures.

The note documented that the treatment plan for R6 was to have new upper and lower dentures along with the extraction of the bottom teeth.12/17/24 - A dental progress note documented that R6 stated that she wanted her lower teeth extracted and full dentures made.3/31/25 - A dental exam note documented that R6 requested to have extractions.4/10/25 - A dental exam note documented that R6 was seen to be reviewed for teeth extractions.8/7/25 9:15 AM -

During an interview, R6 stated that she has four teeth remaining on the bottom and has been asking to have them pulled for over a year. R6 stated that she wanted to have dentures. An observation was completed and it was noted that R6 has four remaining teeth on the bottom front.

During this observation, R6 demonstrated how one of the four teeth can be moved all the way forward because it is loose.8/8/25 8:45 AM -

During an interview, E4 (unit secretary) stated that the dental team can perform teeth extractions in the facility. E4 stated that they understand that R6 wants to have her teeth extracted and the dental team is coming to the facility on 8/29/25. E4 stated that she is unaware if R6 is scheduled to have them extracted.8/8/25 9:05 AM -

During an interview, PC1 (dental company scheduler) stated that R6 is not scheduled to have extractions at that time.

The appointment on 8/29/25 is for the new dentist to conduct their initial exam with R6.8/11/25 1:30 PM -

During an interview, E1 (NHA) confirmed the delay in R6's teeth extraction and starting her denture process.8/11/25 3:05 PM - Findings were reviewed during the exit meeting with E1, E2 (Regional), and E3 (Regional nurse).

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MILFORD, DE, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from POLARIS HEALTHCARE AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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